Geriatric Rehab

Question 1

True or false: normal aging does not necessarily translate to disability

Answer 1

True

Question 2

By 2030, what fraction of americans will be over the age of 65?

Answer 2

1 out of 5

Question 3

What are the top two leading causes of death for the elderly? Percentages?

Answer 3

Heart disease = 28%

CA = 22%

Question 4

What percent of individuals over 65 will have chronic conditions?

Answer 4

86%

Question 5

What percent of individuals over 65 will have difficulties with ADLs?

Answer 5

52%

Question 6

What is the focus of geriatric rehab?

Answer 6

Maximal (not necessarily normal) functional abilities

Question 7

What is geriatric rehab?

Answer 7

intervention to assist disabled older ppl to optimal physical, psy, social skills

Question 8

What are the three things that rehab of older pts focuses on?

Answer 8

1. increase their level of independence
2. live in the most satisfying environment
3. maintain social engagement and involvement

Question 9

What percent of old ppl can walk a mile?

Answer 9

40%

Question 10

What is the goal of rehab?

Answer 10

Function and independence

Question 11

What are the four areas of the functional, disability and health model?

Answer 11

1. Body functions/structures
2. Activities
3. Participation
4. Contextual factors

Question 12

What are six possible consequences of disabilities?

Answer 12

A. increased rate of mortality
B. decreased life span
C. increase risk of acquiring chronic health issues
D. increased risk of institutionalization
E. increased use of the health care system
F. frailty – medically complex elderly

Question 13

What are the three principles of geriatric rehab?

Answer 13

1. Variability of the elderly (age =/= performance)
2. Activity = cornerstone
3. Optimal health is related to optimal functioning

Question 14

True or false: age is a performance predictor

Answer 14

False

Question 15

Decreased activity = ?

Answer 15

Decreased function

Question 16

What is the cornerstone of rehabilitation?

Answer 16

Activity

Question 17

What are the components of the BEDREST mnemonic?

Answer 17

B – bladder/bowel incontinence, bedsores
E – emotional distress
D – deconditioning, depression, demineralization of bones
R – ROM loss
E – energy depletion
S – sensory deprivation
T – trouble

Question 18

What are the three main purposes of an elderly functional assessment?

Answer 18

1. Determine current functioning
2. Determine need for intervention
3. Determine d/c or placement

Question 19

What are the two things to consider when determining the need for intervention?

Answer 19

Setting/ team member

Duration

Question 20

What are the three things to consider when determining the current functioning level?

Answer 20

Baseline?
Goals?
Are goals attainable?

Question 21

What are the components of the elderly functional assessments?

Answer 21

1. ADLs – bathing, dressing, feeding, etc.
2. IADLs – driving, shopping, home care, medication manage., etc.
3. mobility – community negotiation

Question 22

True or false: work environment is a geriatric rehab environment

Answer 22

True

Question 23

What are the four parts of the rehab process on the Dr’s side?

Answer 23

1. diagnosis/prognosis
2. determination of intervention site: hospital, outpatient, home,
3. anticipated outcomes – if known
4. identification of team - other referrals

Question 24

What are the parts of the therapist’s part of the rehab process?

Answer 24

Exam
Eval
Dx
Plan
d/c

Question 25

What percent of LGBT adults do not disclose their orientation to a physician?

Answer 25

20%

Question 26

What percent of LGBT adults have a disability?

Answer 26

50%

Question 27

True or false: the goal of geriatric rehab is the attainment of normal functional abilities?

Answer 27

False–attainment of Maximal abilities

Question 28

Who is appropriate for geriatric rehab?

Answer 28

Anyone who needs help with movement